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Contact Information

KEE S PAEK, MD
1548 WATERS EDGE DR
BAYSIDE, NY11360-1232
 Phone: 718-428-6008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KEE S PAEK · (Male)

NPI # 1548203854
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 138974
  • NY Medicaid 00789139
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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